Andrew R Gibson, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

43 Smith Road
Newport, RI 02841

Phone

(401) 841-6737

NPI assigned

Nov 6, 2017

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1053824649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SMITH RD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028411006",
            "telephone_number": "401-841-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SMITH ROAD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "02841",
            "telephone_number": "401-841-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ANDREW",
        "middle_name": "R",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-06",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Garcia, LICSW
• Gateway Resources, Inc.
• Michelle Lucy Gauvin, PHARMD
• James C Gedney, MD
• Genoa Healthcare LLC
• Giga Med II, LLC (Newport Medical Center)
• James B Gleason, MD
• Marsa Marie Gleason, RD
• Brian Conner Gleeson
• Michele Nicole Glienke, PHARMD

• Independent Duty Corpsman in Newport, RI
• Providers in Newport, RI by specialty
• Independent Duty Corpsman in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.